[Critical review of 25 patients treated for pubic pain with inguinal myorrhaphy (Nesovic operation)]

We present a review of 25 patients operated of inguinal myorrhaphy for "pubalgy". Between 1987 and 1991 25 patients have been operated following the principle of Nesovic. All have had previously a conservative management, consisting of physiotherapy. 23 patients are very satisfied or satisfied of their operation. 2 patients are not satisfied, the pain being the same after the operation. None has been worsen. Recalling the dismembering of the pubalgy by B. Brunet, we think that the operation of Nesovic must be reserved for the cases presenting an abdominal wall pathology. The intervention consists of an inguinal myorrhaphy and is similar to the cure of inguinal hernia by Bassini. It must be bilateral to equilibrate the tensions on the pubic symphysis. The patient must observe a sportive rest of at least 6 weeks and the competition is not taken up again before 8 weeks. The innocuity of the intervention allow it to be proposed as management of choice for cases correctly selected.